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Found 11077 cases where Vaccine is PNC13

Case Details (Reverse Sorted by Appearance Date)

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VAERS ID:538993 (history)  Vaccinated:2014-07-08
Age:1.4  Onset:2014-07-08, Days after vaccination: 0
Gender:Male  Submitted:2014-08-05, Days after onset: 28
Location:California  Entered:2014-08-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: CT scan head in ER normal
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.J0079462IMLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0113320SCRA
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH657363IMRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0137340SCLA
Administered by: Private     Purchased by: Private
Symptoms: Computerised tomogram head normal, Musculoskeletal stiffness, Postictal state, Roseola
SMQs:, Convulsions (narrow), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad)
Write-up: 30 minute episode w/10 min stiffened limbs w/postictal state, 2nd sz after apparent roseola.

VAERS ID:538998 (history)  Vaccinated:2014-06-30
Age:1.0  Onset:2014-06-30, Days after vaccination: 0
Gender:Female  Submitted:2014-08-04, Days after onset: 35
Location:Washington  Entered:2014-08-05, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Not applicable
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.J0001960UNLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH173002UNRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.H202490UNRL
Administered by: Private     Purchased by: Public
Symptoms: No adverse event
SMQs:
Write-up: No symptoms noted per patient: Clinic recognized count of MMR and MMRV was off. Reviewed chart and determined that even through MMR was documented to lot # was for MMRV.

VAERS ID:538595 (history)  Vaccinated:2014-05-20
Age:0.2  Onset:2014-05-20, Days after vaccination: 0
Gender:Female  Submitted:2014-08-04, Days after onset: 76
Location:Unknown  Entered:2014-08-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS    
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.    
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH    
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.    
Administered by: Military     Purchased by: Military
Symptoms: Blood test, Decreased appetite, Irritability, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad)
Write-up: Fever, vomiting, irritability, did not eat for 27hours, hospitalized- fluids and blood work.

VAERS ID:538651 (history)  Vaccinated:2014-07-30
Age:0.4  Onset:2014-07-31, Days after vaccination: 1
Gender:Male  Submitted:2014-08-01, Days after onset: 1
Location:New York  Entered:2014-08-04, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZANTAC
Current Illness: None
Preexisting Conditions: GERD
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH451001IMLL
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 3cm erythema swelling of injection site of PREVNAR.

VAERS ID:538660 (history)  Vaccinated:2014-08-04
Age:0.2  Onset:2014-08-04, Days after vaccination: 0
Gender:Male  Submitted:2014-08-04, Days after onset: 0
Location:New York  Entered:2014-08-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol 160mg/5ml
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSL92L2K1IMRL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.K0011241IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH453931IMLL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.K0017261PO 
Administered by: Public     Purchased by: Public
Symptoms: Inappropriate schedule of drug administration
SMQs:
Write-up: Child received 2nd dose of Pediarix, Prevnar13, hib & Rotateq 3 weeks after first dose.

VAERS ID:538728 (history)  Vaccinated:2014-07-29
Age:0.2  Onset:2014-07-29, Days after vaccination: 0
Gender:Male  Submitted:2014-07-29, Days after onset: 0
Location:Florida  Entered:2014-08-04, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D drops
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL)SANOFI PASTEURC4657AA0IMUN
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH352600IMUN
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.J0109660PO 
Administered by: Private     Purchased by: Public
Symptoms: Crying, Musculoskeletal stiffness, Pallor, Pyrexia, Staring
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: Child awakened from brief nap (2 pm) with non stop crying, fever (101.5), pale, stiff legs and eyes, staring simultaneously while crying.

VAERS ID:538748 (history)  Vaccinated:2014-08-01
Age:0.2  Onset:2014-08-02, Days after vaccination: 1
Gender:Male  Submitted:2014-08-04, Days after onset: 2
Location:Alabama  Entered:2014-08-04
Life Threatening? No
Died? Yes
   Date died: 2014-08-02
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nystatin
Current Illness: Thrush
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS7537C0IMRL
HIBV: HIB (ACTHIB)SANOFI PASTEURUI047AA0IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH450970IMLL
RV1: ROTAVIRUS (ROTARIX)GLAXOSMITHKLINE BIOLOGICALSA41FB401A0PO 
Administered by: Private     Purchased by: Public
Symptoms: Hypotonia, Resuscitation, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Mom reports vomited several times on 8-2-14. States baby was getting diaper change and vomited. States baby went limp. CPR started and ambulance was sent.

VAERS ID:538758 (history)  Vaccinated:2014-07-24
Age:1.0  Onset:2014-07-24, Days after vaccination: 0
Gender:Male  Submitted:2014-07-26, Days after onset: 2
Location:Colorado  Entered:2014-08-04, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (ACTHIB)SANOFI PASTEURUH831AA2SYRLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0037910SYRRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH657353SYRLL
Administered by: Private     Purchased by: Unknown
Symptoms: Cough, Injection site pain, Irritability, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Hypersensitivity (narrow)
Write-up: Snort like cough- dry/short/repetitive hours after vaccines. Fever 100 day after vaccines and leg pain c/w injection site soreness, Urticarial rash began 7/25/ evening and ongoing. Increased fussiness since afternoon of vaccines.

VAERS ID:538644 (history)  Vaccinated:2014-01-14
Age:0.2  Onset:2014-02-03, Days after vaccination: 20
Gender:Male  Submitted:2014-08-04, Days after onset: 181
Location:Foreign  Entered:2014-08-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Intestinal colic; Neurodermatitis; Upper respiratory tract infection
Preexisting Conditions:
Diagnostic Lab Data: C-reactive protein, 03Feb2014, 0.04mg/dl; Fibrinogen decreased, Mar2014, 115mg/dl; Prothrombin time, 03Feb2014, 42.2sec; Quick''s test, 03Feb2014, normal; Rumpel-Leede reaction positive, Mar2014, positive; Von Willebrand''s factor multim, Mar2014, negative; White blood cell count, Mar2014, 15.9cells/nl
CDC Split Type: D0085039A
Vaccination
Manufacturer
Lot
Dose
Route
Site
6VAX-F: DTAP+IPV+HEPB+HIB (FOREIGN)GLAXOSMITHKLINE BIOLOGICALS  UNUN
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH 0UNUN
RV1: ROTAVIRUS (ROTARIX)GLAXOSMITHKLINE BIOLOGICALS  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Angiopathy, Blood fibrinogen decreased, C-reactive protein normal, Capillary fragility increased, Crying, Hyperaesthesia, Petechiae, Prothrombin time normal, Restlessness, Von Willebrand's factor multimers normal, White blood cell count normal
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad)
Write-up: This case was reported by a health professional via a regulatory authority (# DE-PEI-PEI2014038486) and described the occurrence of petechiae in a 12-week-old male subject who was vaccinated with INFANRIX HEXA (GlaxoSmithKline), ROTARIX and (non-gsk) PREVENAR 13. Concurrent medical conditions included neurodermatitis, upper respiratory tract infection and intestinal colic. On 14 January 2014 the subject received the first dose of PREVENAR 13, a dose of INFANRIX HEXA and a dose of ROTARIX. 20 days after vaccination with INFANRIX HEXA, PREVENAR 13 and ROTARIX, on 03 February 2014, the subject developed petechiae, restlessness, an increased touch sensitivity and angiopathy. On 03 February 2014 the subject was brought to a hospital. According to the hospital report the subject was restless, crying and sensitive to touch on his ears. The subject was suspected with intestinal colic. Treatment with rectal tube led to intestinal emptying. As a secondary finding the subject was identified with petechiae on lower legs and hospitalized for clarification. There was no fever. Lab tests resulted normally for inflammatory parameters and blood clotting. The origin of petechiae could not be clarified and was suspected to be a result of a possibly congestion caused by tight panty hose. On 04 February the subject was discharged from the hospital in a good general condition. On 25 February 2014 the subject received another dose of INFANRIX HEXA and PREVENAR 13. In mid March 2014, petechiae recurred. On 20 March 2014 the subject was hospitalised again. At the time of hospitalization both lower legs were observed with petechiae, which were fading away already. The subject was found with a mild increase of leucocytes and decreased fibrinogen. Vasopathy was suspected but could not be confirmed using ultrasound scan of abdomen, which resulted normally. Rumpel-Leede test was positive. Von-Willebrand-Factor disease could be excluded serologically. Vasopathy was the suspected origin of the petechiae. On an unspecified date the subject''s father was found with decreased fibrinogen. The family was not scheduled for genetic tests for diagnostics of possible hereditary diseases. At the time of reporting the events were resolved. According to the reporting regulatory authority no further information was awaited.

VAERS ID:538514 (history)  Vaccinated:2014-03-13
Age:0.2  Onset:2014-03-13, Days after vaccination: 0
Gender:Female  Submitted:2014-08-02, Days after onset: 142
Location:Pennsylvania  Entered:2014-08-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL)SANOFI PASTEURC4637AA0IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH506030IMRL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.J0125230PO 
Administered by: Unknown     Purchased by: Private
Symptoms: Abnormal behaviour, Crying, Pain, Screaming
SMQs:, Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad)
Write-up: My child had inconsolable high pitched screaming and crying for 4-5 hours. She NEVER acted like this before. I know she must have been in severe pain as her eyes were begging me to do something to help her and I had no way of doing so. NOTHING i did would help calm her. It was heart wrenching and I almost passed out due to her being so upset.

VAERS ID:538515 (history)  Vaccinated:2014-07-30
Age:0.4  Onset:2014-07-30, Days after vaccination: 0
Gender:Male  Submitted:2014-08-02, Days after onset: 3
Location:Michigan  Entered:2014-08-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin D3 oral drops
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS4394C1IMLL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.K0023421IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH506031IMRL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.J0135871PO 
Administered by: Public     Purchased by: Private
Symptoms: Injection site rash, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Fever of 100.4 started after immunizations approxmately 3 hours. The next day on 8/1/2014 rash on bilateral anterior thighs surrounding the injection site.

VAERS ID:538380 (history)  Vaccinated:2014-07-31
Age:0.3  Onset:2014-07-31, Days after vaccination: 0
Gender:Female  Submitted:2014-08-01, Days after onset: 1
Location:Maine  Entered:2014-08-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Grape water drops for reflux
Current Illness: No
Preexisting Conditions: N/A
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPPHIB: DTP + IPV + ACT-HIB (NO BRAND NAME)UNKNOWN MANUFACTURERC4680AA1IMRL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.K0066821IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH698371IMLL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.J0125231PO 
Administered by: Unknown     Purchased by: Public
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Infant vomited once - no fever, no swelling at injection sites - parents believe it was due to vaccinations given

VAERS ID:538390 (history)  Vaccinated:2014-07-25
Age:0.3  Onset:2014-07-25, Days after vaccination: 0
Gender:Female  Submitted:2014-07-25, Days after onset: 0
Location:Indiana  Entered:2014-08-01, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS2G4371IMLL
HIBV: HIB (ACTHIB)SANOFI PASTEURUI050AA1IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH450971IMRL
RV1: ROTAVIRUS (ROTARIX)GLAXOSMITHKLINE BIOLOGICALSA41FB417A1PO 
Administered by: Private     Purchased by: Public
Symptoms: Injection site rash, Injection site reaction, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Patient received shots in office at approx 11:52 on 7/25/14 within 15 min or less patient developed a welt and rash on bil. lower legs (mid calf down). No rash noted anywhere else. Parents deny rash prior to patient receiving shots.

VAERS ID:538399 (history)  Vaccinated:2014-07-15
Age:1.1  Onset:2014-07-24, Days after vaccination: 9
Gender:Female  Submitted:2014-08-01, Days after onset: 8
Location:Illinois  Entered:2014-08-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS7973G IM 
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.J016187 IM 
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.K002483 SC 
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH13996 IM 
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site papule, Injection site rash, Papule, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pt given MMR/Varicella in Left thigh. Pt developed rash on site of vaccine administration one week later. She also has a few papules scattered on her upper extremities and legs. Mom noticed "bump" on thigh developed a cluster of similar papules that were itchy. Redness also developed around the area. Pt had no fever. Pt came to office 8/1/14. Pt given keflex and acyclovir.

VAERS ID:538421 (history)  Vaccinated:2014-06-16
Age:0.5  Onset:2014-06-17, Days after vaccination: 1
Gender:Male  Submitted:2014-07-18, Days after onset: 31
Location:Florida  Entered:2014-08-01, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Desonide cream
Current Illness: Eczema
Preexisting Conditions: Eczema
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAT57M2IMRL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.J0079462IMLL
HIBV: HIB (ACTHIB)SANOFI PASTEURUH832AB2IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH476892IMLL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.K0017152PO 
Administered by: Private     Purchased by: Private
Symptoms: Erythema multiforme
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: Erythema multiforme.

VAERS ID:538437 (history)  Vaccinated:2014-07-25
Age:0.6  Onset:2014-07-30, Days after vaccination: 5
Gender:Female  Submitted:2014-07-31, Days after onset: 1
Location:Arizona  Entered:2014-08-01, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS795AE2IMRL
HIBV: HIB (ACTHIB)SANOFI PASTEURUT100AB1B2IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH476882IMLL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.K0017152PO 
Administered by: Private     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Developed hive like rash without resp distress. Tx: oral BENADRYL PRN.

VAERS ID:538504 (history)  Vaccinated:2014-06-30
Age:1.4  Onset:2014-07-03, Days after vaccination: 3
Gender:Male  Submitted:2014-08-01, Days after onset: 29
Location:South Carolina  Entered:2014-08-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Father reported that child had been given "either Tylenol or Ibuprofen earlier in the day for the fever.
Current Illness: None reported
Preexisting Conditions: None reported
Diagnostic Lab Data: Unknown
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS7537C1IMLL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.K0011241IMLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0088820SCRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH450991IMRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0070220SCLL
Administered by: Public     Purchased by: Public
Symptoms: Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Father reported at visit on 7/30/2014 that child had fever of 103 and a seizure three days after vaccines given on 06/30/2014. Child was taken to ER. Father states son did not have any other symptoms prior to the onset of the fever/seizure.

VAERS ID:538491 (history)  Vaccinated:2014-07-14
Age:0.5  Onset:2014-07-14, Days after vaccination: 0
Gender:Female  Submitted:2014-08-01, Days after onset: 18
Location:Foreign  Entered:2014-08-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: VIGANTOL
Current Illness: Unknown
Preexisting Conditions: Convulsions generalized; Tonic-clonic convulsion
Diagnostic Lab Data: UNK
CDC Split Type: B1018840A
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPVHIB: DTAP + IPV + HIB (NO BRAND NAME)SANOFI PASTEURK40922IMUN
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC262CI2IMUN
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHJ30926 IMUN
Administered by: Other     Purchased by: Other
Symptoms: Convulsion, Grand mal convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: This case was reported by a physician via a regulatory authority (# PT-INFARMED-N201407-123) and described the occurrence of convulsions generalized in a 6-month-old female subject who was vaccinated with ENGERIX B pediatric (GlaxoSmithKline), PENTAVAC (non-GSK) and PREVENAR 13 (non-GSK). The subject had history of tonic-clonic convulsions following vaccinations with 2nd dose of PENTAVAC (non-GSK) and PREVENAR 13 (non-GSK) given on 12 May 2014. Concurrent medications included VIGANTOL. On 14 July 2014, the subject received 3rd dose of ENGERIX B pediatric (intramuscular, unknown injection site), 3rd dose of PENTAVAC (intramuscular, unknown injection site) and unspecified dose of PREVENAR 13 (intramuscular, unknown injection site). On 14 July 2014, 9 hours after vaccination with ENGERIX B pediatric, PENTAVAC and PREVENAR 13, the subject experienced generalized tonic-clonic seizure. The subject was hospitalised for 24 hours. The events resolved after the measures taken during hospitalization. The regulatory authority reported that the events were probably related to vaccination with ENGERIX B pediatric, PENTAVAC and PREVENAR 13. No further information was expected, the regulatory authority has provided GSK with all the available information for the time being, if they ever get any further information they will send it to GSK. Therefore the case has been closed.

VAERS ID:538586 (history)  Vaccinated:2014-06-26
Age:0.1  Onset:2014-06-26, Days after vaccination: 0
Gender:Female  Submitted:2014-08-01, Days after onset: 36
Location:Foreign  Entered:2014-08-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Conjunctivitis
Preexisting Conditions:
Diagnostic Lab Data: Blood test, 26Jun2014, normal; Electroencephalogram, 26Jun2014, normal
CDC Split Type: B1018526A
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPVHIB: DTAP + IPV + HIB (FOREIGN)GLAXOSMITHKLINE BIOLOGICALSA20CB045B0SYRUN
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH632490SYRUN
Administered by: Other     Purchased by: Other
Symptoms: Blood test normal, Decreased appetite, Depressed level of consciousness, Electroencephalogram normal, Hypotonia, Muscle twitching, Pallor
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (narrow), Generalised convulsive seizures following immunisation (narrow)
Write-up: This case was reported by a health care professional via a regulatory authority (NO-NOMAADVRE-FHI-2014-18046) and described the occurrence of decreased consciousness in a 5-week-old female subject who was vaccinated with INFANRIX-IPV/Hib (GlaxoSmithKline) and PREVENAR 13 (non-GSK). Concurrent medical conditions included conjunctivitis. On 26 June 2014, the subject received 1st dose of INFANRIX-IPV/Hob (unknown route and injection site) and 1st dose of PREVENAR 13 (unknown route and injection site) because she was supposed to travel abroad. In the evening of 26 June 2014, within hours of vaccination with INFANRIX-IPV/Hib and PREVENAR 13, the subject experienced decreased consciousness, decreased appetite, pallor, twitches and hypotonia. The subject was hospitalised on the same day. Blood tests and EEG were normal. There were no other pathological findings obtained in hospital. The subject was discharged from hospital on 28 June 2014 after more than 24 hours of observation. She was reported to be in good general conditions. At the time of reporting, the events were resolved. The regulatory authority reported that the events were possibly related to vaccination with INFANRIX-IPV/Hib and PREVENAR 13. No further information was expected, the regulatory authority has provided GSK with all the available information for the time being, if they ever get any further information they will send it to GSK. Therefore the case has been closed.

VAERS ID:538208 (history)  Vaccinated:2014-07-18
Age:1.1  Onset:2014-07-20, Days after vaccination: 2
Gender:Male  Submitted:2014-07-31, Days after onset: 11
Location:Maryland  Entered:2014-07-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSAC21B406AA IMRL
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS4735D IMRL
HIBV: HIB (ACTHIB)SANOFI PASTEURUI004AA IMLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J006137 SCLA
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH06568 IMLL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J009992 SCRA
Administered by: Public     Purchased by: Public
Symptoms: Rash, Rash vesicular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Mother states in morning she noticed child had a "chicken pox" looking rash on both legs, arms and his chin. No fever or itching.

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